Basic Information
Provider Information
NPI: 1851774160
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZAHID
FirstName: SOHAIB
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 16620 N US HIGHWAY 281 STE 300
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782322679
CountryCode: US
TelephoneNumber: 2106141231
FaxNumber: 2106160704
Practice Location
Address1: 3103 MEGAN ST
Address2:  
City: EAGLE PASS
State: TX
PostalCode: 788525891
CountryCode: US
TelephoneNumber: 8307730212
FaxNumber: 8307737955
Other Information
ProviderEnumerationDate: 07/06/2015
LastUpdateDate: 03/11/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/11/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X PAN Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RN0300XS2545TXY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


Home